Provider Demographics
NPI:1760671416
Name:BIENER, ALEXANDER (MD)
Entity Type:Individual
Prefix:DR
First Name:ALEXANDER
Middle Name:
Last Name:BIENER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:595 CHESTNUT RIDGE RD
Mailing Address - Street 2:SUITE #6
Mailing Address - City:WOODCLIFF LAKE
Mailing Address - State:NJ
Mailing Address - Zip Code:07677-7667
Mailing Address - Country:US
Mailing Address - Phone:201-505-9595
Mailing Address - Fax:201-505-9474
Practice Address - Street 1:595 CHESTNUT RIDGE RD
Practice Address - Street 2:SUITE #6
Practice Address - City:WOODCLIFF LAKE
Practice Address - State:NJ
Practice Address - Zip Code:07677-7667
Practice Address - Country:US
Practice Address - Phone:201-505-9595
Practice Address - Fax:201-505-9474
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-18
Last Update Date:2020-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA53193207R00000X
NJ53193207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ570978Medicare PIN